Healthcare Provider Details

I. General information

NPI: 1326096827
Provider Name (Legal Business Name): LELA K MARABLE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MERRITT DR STE 100
HENDERSON KY
42420-2788
US

IV. Provider business mailing address

PO BOX 1510
EVANSVILLE IN
47706-1510
US

V. Phone/Fax

Practice location:
  • Phone: 270-827-0064
  • Fax: 270-826-3338
Mailing address:
  • Phone: 270-827-0064
  • Fax: 270-826-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017187A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: